# NTSB CEN18LA156: Laminar Lancair 360, N92WL, Woodward, OK, May 2, 2018

- Type: NTSB accident investigation
- Classification: Accident · No injuries · Limited investigation · Final report
- Date: May 2, 2018, 16:20 local (21:20 UTC)
- Place: Woodward, OK
- Coordinates: 36.443611, -99.514999 (estimated)
- Nearby events: https://openairdocs.org/map.md?lat=36.4436&lon=-99.5150&mi=10
- Phase of flight: [Enroute](https://openairdocs.org/ntsb-phases/400) (OpenAirDocs' grouping)
- Defining event: [Enroute-cruise: Fuel related](https://openairdocs.org/ntsb-events/190)
- Highest injury: No injuries
- Injuries: 2 uninjured
- Status: Completed, report November 19, 2019
- Report: Approved by Office Director
- NTSB office: Central Region
- Parties: Oklahoma City FSDO
- NTSB case key (mKey): 97159
- NTSB case page: https://web.ntsb.gov/investigations/?ntsbnumber=CEN18LA156
- NTSB report (PDF, downloads): https://data.ntsb.gov/carol-repgen/api/Aviation/ReportMain/GenerateNewestReport/97159/pdf
- NTSB docket: https://data.ntsb.gov/Docket?ProjectID=97159
- Page: https://openairdocs.org/ntsb/CEN18LA156

## Probable cause

The pilot-rated passenger’s inadvertent contact with and closure of the emergency fuel shutoff valve, which resulted in the total loss of engine power due to fuel starvation. Contributing to the accident was the pilot's lack of experience in the accident airplane.

## Findings

NTSB's coded findings; those marked are part of the probable cause.

- [Fluids: fuel](https://openairdocs.org/ntsb-findings/01071010): Aircraft › Fluids/misc hardware · Fluid level (probable cause); cases with it: [Laminar Consulting LANCAIR 360, 1 case](https://openairdocs.org/ntsb-findings/01071010/cases.md?model=05634U5), [All aircraft, 1,695 cases](https://openairdocs.org/ntsb-findings/01071010/cases.md)
- [Action](https://openairdocs.org/ntsb-findings/02041000): Personnel issues › Action/decision · Passenger (probable cause); cases with it: [Laminar Consulting LANCAIR 360, 1 case](https://openairdocs.org/ntsb-findings/02041000/cases.md?model=05634U5), [All aircraft, 111 cases](https://openairdocs.org/ntsb-findings/02041000/cases.md)
- [Experience/qualifications: total experience w/ equipment](https://openairdocs.org/ntsb-findings/02031025): Personnel issues › Experience/knowledge · Pilot (probable cause); cases with it: [Laminar Consulting LANCAIR 360, 1 case](https://openairdocs.org/ntsb-findings/02031025/cases.md?model=05634U5), [All aircraft, 269 cases](https://openairdocs.org/ntsb-findings/02031025/cases.md)

## Sequence of events

The events NTSB coded, in order, by phase of flight. The defining event best describes what happened.

- [Enroute-cruise: Turbulence encounter](https://openairdocs.org/ntsb-events/360); cases with it: [Laminar Consulting LANCAIR 360, 1 case](https://openairdocs.org/ntsb-events/360/sequence.md?model=05634U5), [All aircraft, 423 cases](https://openairdocs.org/ntsb-events/360/sequence.md)
- [Enroute-cruise: Fuel related](https://openairdocs.org/ntsb-events/190) (defining event); cases with it: [Laminar Consulting LANCAIR 360, 1 case](https://openairdocs.org/ntsb-events/190/sequence.md?model=05634U5), [All aircraft, 361 cases](https://openairdocs.org/ntsb-events/190/sequence.md)
- [Enroute-cruise: Fuel starvation](https://openairdocs.org/ntsb-events/191); cases with it: [Laminar Consulting LANCAIR 360, 1 case](https://openairdocs.org/ntsb-events/191/sequence.md?model=05634U5), [All aircraft, 733 cases](https://openairdocs.org/ntsb-events/191/sequence.md)
- [Enroute-cruise: Loss of engine power (total)](https://openairdocs.org/ntsb-events/341); cases with it: [Laminar Consulting LANCAIR 360, 1 case](https://openairdocs.org/ntsb-events/341/sequence.md?model=05634U5), [All aircraft, 3,820 cases](https://openairdocs.org/ntsb-events/341/sequence.md)
- [Emergency descent: Off-field or emergency landing](https://openairdocs.org/ntsb-events/440); cases with it: [Laminar Consulting LANCAIR 360, 1 case](https://openairdocs.org/ntsb-events/440/sequence.md?model=05634U5), [All aircraft, 3,365 cases](https://openairdocs.org/ntsb-events/440/sequence.md)
- [Landing-landing roll: Collision with terr/obj (non-CFIT) ](https://openairdocs.org/ntsb-events/470); cases with it: [Laminar Consulting LANCAIR 360, 1 case](https://openairdocs.org/ntsb-events/470/sequence.md?model=05634U5), [All aircraft, 10,189 cases](https://openairdocs.org/ntsb-events/470/sequence.md)
- [Landing-landing roll: Landing gear collapse](https://openairdocs.org/ntsb-events/094); cases with it: [Laminar Consulting LANCAIR 360, 1 case](https://openairdocs.org/ntsb-events/094/sequence.md?model=05634U5), [All aircraft, 1,787 cases](https://openairdocs.org/ntsb-events/094/sequence.md)

## Analysis

The airline transport pilot was conducting a personal flight with a pilot-rated passenger in an experimental, amateur-built airplane. The pilot reported that, during flight at 10,000 ft, the airplane experienced moderate to severe turbulence for a few seconds. Shortly after, the engine stopped producing power without warning. The pilot immediately attempted to restart the engine to no avail. He flew at best glide speed toward the nearest airport, located about 12 nautical miles away, but landed short of the runway in a pasture, during which the airplane encountered sagebrush, which caused the landing gear to collapse as the airplane bounced and skidded to a stop; the fuselage sustained substantial damage. The examination of the airplane at the accident site revealed that the emergency fuel shutoff valve, which was located on the right side of the center console under the instrument panel, was about 1/4 of the way between the on (horizontal) position and the off (vertical) position. The valve could not be seen by the pilot. Further, the pilot-rated passenger stated that he could not see the emergency fuel shutoff valve. He was not sure if his knee hit the valve handle and shut off the fuel flow from the header fuel tank to the engine during the turbulence event. The onboard flight and engine monitoring system indicated that the airplane was about 10,000 ft mean sea level when it experienced about a 2g vertical acceleration. The engine data indicated a rapid decrease of fuel flow after the 2g acceleration with a coinciding decrease in exhaust gas temperatures and fuel pressure. About 30 gallons of fuel was drained from the airplane before it was transported to the recovery facility. An engine examination and test run were conducted, and the engine performed satisfactorily. A second test was conducted to determine the effectiveness of the emergency fuel shut off valve and where it needed to be positioned before it cut off all fuel to the engine. There was no indication of a power loss until the valve handle was in the full vertical position, which then caused the engine to stop within about 10 seconds. The pilot-rated passenger reported that he had recently purchased the airplane and that he and the pilot were flying the airplane to his home base. He stated that although he and the pilot were experienced pilots, neither had any flight time in the airplane except for the orientation flight that the pilot had received. Given the engine data, it is likely that the pilot-rated passenger's knee inadvertently hit the emergency fuel shutoff valve during the turbulence event and caused it to shut off the fuel flow from the header tank to the engine. Further, had the pilot been familiar with the airplane, he would have known where the fuel selector valve was, regardless of whether it was easy to see, and would have checked it when the engine lost power as a memory item check in the emergency procedures.

## Factual narrative

On May 2, 2018, about 1620 central daylight time, an experimental, amateur-built Laminar Lancair 360 airplane, N92WL, experienced a total loss of engine power during cruise flight and impacted terrain during a forced landing to a field about 1/2 mile from the Woodward Municipal Airport (WWR), Woodward, Oklahoma. The pilot and pilot-rated passenger were not injured, and the airplane sustained substantial damage. The airplane was owned by an individual and operated by the pilot under the provisions of the Title 14 Code of Federal Regulations Part 91. Visual meteorological conditions prevailed at the time of the accident, which was operated on an instrument flight plan. The personal flight departed the Lee Summit Municipal Airport (LXT), Lee's Summit, Missouri, about 1416, and was en route to the Dalhart Municipal Airport, Dalhart, Texas. The pilot reported he was in cruise flight at 8,000 ft but requested 10,000 ft to stay clear of clouds. As the airplane reached 10,000 ft, the airplane experienced moderate to severe turbulence for a few seconds. Shortly after the turbulence, the engine stopped producing power without any prior indications, such as sputtering. The pilot immediately started a descent and turned on the fuel boost pump, fuel transfer pumps, and changed throttle and mixture settings to try restart the engine but without success. The pilot-rated passenger declared a MAYDAY and determined the course to the nearest airport, which was WWR located about 12 nautical miles to the southeast. The pilot flew the airplane at best glide airspeed by putting the propeller lever to the coarsest pitch, which produced a glide ratio with a 1,000 to 1,100 fpm rate of descent. About 5,700 ft above mean sea level (msl), the pilot decided that it did not look favorable to make it to the airport, so he pushed the propeller back in and attempted to restart the engine. However, the rate of descent increased to 1,800 to 2,000 fpm. The engine did not restart so the pilot decided to conduct a forced landing to a road, but once he saw that power lines and trees near the road, he decided to land in a pasture. He lowered the landing gear (the flaps were found in the retracted position). As the airplane landed in the pasture, the airplane encountered sagebrush which caused the landing gear to collapse as the airplane bounced and skidded to a stop. Later, the pilot examined the airplane and the only anomaly he reported was that "the main fuel cutoff valve (hidden in the co-pilot's foot well) was just partially moved." He stated that he was not sure if the valve was moved during the turbulence event or while bouncing across the pasture. The pilot-rated passenger stated that he could not see the main fuel cutoff valve located on the right side of the center console and under the instrument panel. He was not sure if his knee hit the valve handle and shut off the fuel flow from the header fuel tank to the engine during the turbulence event. He stated that the fuel valvehandle was found about ¼ of the way from the on position (horizontal) to the off position (vertical). He stated that the handle moved without much resistance. The airplane's builder reported that he used 2 similar stainless steel, Teflon coated ball valves with 3/8-inch lines in constructing the airplane. Both valves had orange handles. One of the valve handles was located on the left side of the center console on the pilot's side and under the instrument panel. The pilot's side valve was an emergency gear dump valve. The valve dumped hydraulic pressure to allow the landing gear to lower if the hydraulic pumps were inoperative. The other orange valve handle was the emergency fuel shutoff valve located on the right side of the center console on the passenger's side, which could not be seen by the pilot. The valve shut the fuel off from the airplane's header tank to the engine. The handle for the emergency fuel shutoff valve was in the horizontal position for normal operations. To turn the fuel off, the handle was placed in the vertical position. The airplane was equipped with a Garmin EFIS which provided flight and engine monitoring data. The SD card was downloaded, and it provided engine performance data that included exhaust gas temperatures (EGT) for all cylinders, tachometer (rpm), fuel flow, oil pressure, and manifold pressure. The flight data indicated that the airplane was at about 10,000 ft msl when it experienced about a 2g vertical acceleration. The data for the engine indicated a rapid decrease of fuel flow within 20 seconds of the 2g acceleration with a coinciding decrease in EGTs and fuel pressure. The airplane wreckage was partially disassembled and transported to an aircraft recovery facility. About 30 gallons of fuel was drained from the airplane before transporting it to the recovery facility. The header tank was found "nearly" full, and the rest of the fuel came from the wing tanks. The National Transportation Safety Board conducted an examination/engine run at the recovery facility. The engine was a 180-horsepower four-cylinder Lycoming IO-360-C1E6 engine. The engine was started and run at various power settings. The magneto drop was "high" but similar between both left and right magnetos. The engine performed satisfactorily during the test, and a reason for the lost power on the accident flight was not found. A second test was conducted to determine the effectiveness of the emergency fuel shut off valve and where it needed to be positioned before it cut off all fuel to the engine. The engine was started and run at 2,090 rpm at 18.3 inches of manifold pressure. The emergency fuel shut off valve was slowly moved from the on position (horizontal) to the vertical position. There was no indication of a loss of power until the valve handle was in the full vertical position, which then caused the engine to stop within about 10 seconds. The pilot-rated passenger reported that he had recently purchased the airplane and that he and thepilot were flying the airplane to his home base. He stated that although he and the pilot were experienced pilots, neither had any flight time in the airplane except for the orientation flight that the pilot had received.

## Aircraft

- Registration: [N92WL](https://openairdocs.org/deregistered/N92WL-2019-06-03), registration cancelled 2019-06-03, S/N 719-320-563, built 2016 (OpenAirDocs)
- Reported make and model: LAMINAR Lancair 360
- Registry model: [Laminar Consulting LANCAIR 360](https://openairdocs.org/model/laminar-consulting-lancair-360) (registry code 05634U5) (OpenAirDocs)
- Registry engine: [Lycoming IO-360-C1E6](https://openairdocs.org/engine/lycoming-io-360-c1e6) (registry code 41835, reciprocating) (OpenAirDocs)
- Category: Airplane, amateur-built
- Serial number: 719-320-563
- Year built: 2016
- Airframe hours: 90
- Engines: Lycoming IO-360-C1E6 180 horsepower reciprocating
- Damage: Substantial damage
- Flight: Personal, Part 91
- Airworthiness certificate: Special, Experimental (Special)
- Departed: LXT, Lee Summit, MO
- Destination: DHT, Dalhart, TX
- Flight plan: IFR
- Equipment: Unknown

## Flight crew

As NTSB recorded them. NTSB leaves out names.

- Pilot; age 41; injuries: none; commercial, airline transport; airplane ratings: single-engine land, multi-engine land; instrument ratings: airplane; medical: class 2, without waivers/limitations; seat: left; restraint: 4-point; flight hours: 5,000 total

## Weather

- Conditions: Visual (VMC), Day
- Wind: 160° at 23 knots, gusting 32
- Visibility: 10 statute miles
- Lowest ceiling: none
- Temperature: 81 °F, dew point 59 °F
- Altimeter: 29.78 inHg
- Observed at: WWR, 1 nm away

## FAA reports on this event (1)

The FAA's own accident and incident reports, matched to the aircraft by N-number and date (OpenAirDocs).

- [Accident 20180502004509A](https://openairdocs.org/incident/20180502004509A), May 2, 2018: Laminar Consulting LLC. LANCAIR 360, Woodward, OK, Substantial damage. The pilot stated that while enroute with a newly purchased aircraft at 10,000FT from lees summit airport, KS.(lxt) to dalhart, TX.(dht) the pilot and [privacy…

## Docket (9 files)

The files NTSB released with the investigation on September 6, 2019, on NTSB's docket system: https://data.ntsb.gov/Docket?ProjectID=97159. 9.2 MB in all.

- Pilot Statement (item 1, .PDF, 83 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40475571&FileExtension=.PDF&FileName=Pilot%20Statement-Master.PDF
- NTSB Record of Conversations (item 2, .PDF, 159 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40475572&FileExtension=.PDF&FileName=NTSB%20Record%20of%20Conversations-Master.PDF
- NTSB Engine Examination Report (item 3, .PDF, 1.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40475573&FileExtension=.PDF&FileName=NTSB%20Engine%20Examination%20Report-Master.PDF
- Flight Data Plots (item 4, .PDF, 1.9 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40475574&FileExtension=.PDF&FileName=Flight%20Data%20Plots-Master.PDF
- Accident Flight Data (item 5, .PDF, 231 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40475575&FileExtension=.PDF&FileName=Accident%20Flight%20Data-Master.PDF
- Accident Flight Raw Data (item 6, XLSX, 3.2 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40475576&FileExtension=xlsx&FileName=Accident%20Flight%20Raw%20Data-Master
- Video of Engine Run and Fuel Shutoff Test (item 7, .PDF, 39 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40475577&FileExtension=.PDF&FileName=Video%20of%20Engine%20Run%20and%20Fuel%20Shutoff%20Test-Master.PDF
- Fuel System Overhaul Records (item 8, .PDF, 288 KB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40475578&FileExtension=.PDF&FileName=Fuel%20System%20Overhaul%20Records-Master.PDF
- Photo Log (item 9, .PDF, 2.1 MB): https://data.ntsb.gov/Docket/Document/docBLOB?ID=40475579&FileExtension=.PDF&FileName=Photo%20Log-Master.PDF

From the NTSB's public API. Aircraft are matched to registry aircraft by N-number and event date, checked against the reported serial number, make and model; the registry's history has gaps, so older matches can be wrong. Compare the reported make and model.

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